| NPI | 1114161783 |
|---|---|
| Former Name | LAUREN MARIE ULLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 252876) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 252876) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2017-06-07 |