NPI | 1861753303 |
---|---|
Former Name | LAUREN NICOLE TABILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A136600) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME122310) |
208000000X Pediatrics (Licence: FL ME122310) | |
Enumeration Date | 2012-05-31 |
Last Update Date | 2023-07-07 |