NPI | 1497169478 |
---|---|
Former Name | LAUREN DEMET TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01078353A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017825A) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2020-04-08 |