NPI | 1639632250 |
---|---|
Former Name | LAUREN N BORCHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2023041129) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME156453) |
208000000X Pediatrics (Licence: MO 2023041129) | |
Enumeration Date | 2019-04-10 |
Last Update Date | 2023-10-17 |