NPI | 1306264197 |
---|---|
Former Name | LAUREN AMELIA BRUNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0058620) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-03-31 |
Last Update Date | 2022-07-21 |