NPI | 1295718625 |
---|---|
Former Name | LAUREN KONDEV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MA 217233) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 217233) |
2084N0400X Psychiatry & Neurology Neurology (Licence: MA 217233) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2014-10-01 |