NPI | 1619236106 |
---|---|
Former Name | LAURA ASHLEY GIRARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MT209380) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-05-03 |
Last Update Date | 2023-07-11 |