| NPI | 1215130885 |
|---|---|
| Former Name | LAURA LEE RAYNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101255482) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2010-01428) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2017-01-05 |