NPI | 1700387560 |
---|---|
Former Name | LAURA ALISON BLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: HI MD-21991) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-21991) |
Enumeration Date | 2018-02-26 |
Last Update Date | 2025-05-28 |