NPI | 1629330998 |
---|---|
Former Name | LAUREN ELIZABETH ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2016011493) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125060873) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2019-08-09 |