NPI | 1033500277 |
---|---|
Former Name | LAUREN ELIZABETH KUTZSCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 165761) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-02-10 |
Last Update Date | 2021-07-02 |