NPI | 1245692771 |
---|---|
Former Name | LAUREN KNELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A152639) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A152639) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2023-08-11 |