| NPI | 1609261197 |
|---|---|
| Former Name | LAUREN ELIZABETH NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 51238) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101266563) |
| 208000000X Pediatrics (Licence: TN MD59152) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-09-24 |