NPI | 1669683314 |
---|---|
Former Name | LAURA E BRUMLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX M3174) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A95724) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2015-08-26 |