| NPI | 1134336530 |
|---|---|
| Former Name | LAUREN PALMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M9558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93694) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-01-15 |