Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 34.011298 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 34.011298 | OH |
NPI | 1306136031 |
---|---|
Provider Name | Dr. Heather Leigh Daniels |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2011 |
Last Update Date | 18/11/2021 |