| NPI | 1861854093 |
|---|---|
| Former Name | LAUREN PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 38391) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10514884-1205) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2019-08-23 |