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 |