| NPI | 1073872867 |
|---|---|
| Former Name | LAUREN LEE BETTY HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 17521) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR PG168320) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-01-08 |