| NPI | 1700387560 |
|---|---|
| Former Name | LAURA ALISON BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-21991) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2023-07-11 |