NPI | 1154655983 |
---|---|
Former Name | LAUREN NICOLE PEARLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 005673) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A 11516) |
208000000X Pediatrics (Licence: AZ R1491) | |
Enumeration Date | 2009-09-26 |
Last Update Date | 2021-12-21 |