| NPI | 1639438898 |
|---|---|
| Former Name | LAUREN KAITLIN WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0101258403) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: VA 0101254366) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-08-14 |