| NPI | 1356603146 |
|---|---|
| Former Name | LAUREN D'ANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX S3611) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT202213) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX S3611) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2022-08-30 |