| NPI | 1396894861 |
|---|---|
| Former Name | LAINE BETH KRAITERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 1302) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |