| NPI | 1275273195 |
|---|---|
| Former Name | LAURA MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 104266) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL87955) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-09-24 |