NPI | 1720575657 |
---|---|
Former Name | LAURYN ZIELINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.138525) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: OH 35.138525) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2022-12-27 |