| NPI | 1568841302 |
|---|---|
| Former Name | LAURA EMAMIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 31387) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2021-07-06 |