NPI | 1821365271 |
---|---|
Former Name | LAUREN B DOPPELHEUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 16186) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 178658) |
Enumeration Date | 2011-11-29 |
Last Update Date | 2020-10-15 |