| NPI | 1366648453 |
|---|---|
| Former Name | ROBIN LAUREL DECOURSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2012018300) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2012-11-03 |