| 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 |