NPI | 1194800839 |
---|---|
Former Name | LAURIE STEWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 39174) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO 39174) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-07-25 |