NPI | 1538546171 |
---|---|
Former Name | LAUREN GOODMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.136779) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-04 |
Last Update Date | 2019-08-16 |