NPI | 1316150907 |
---|---|
Former Name | LAURA KATHRYN PELIKAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036133948) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2013010803) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-01-29 |