NPI | 1275743577 |
---|---|
Former Name | LAUREN HOLLINGSWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD28241) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL16404) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2017-11-27 |