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 | 2025-02-11 |