| NPI | 1871090407 |
|---|---|
| Former Name | LAURA MARIE CROCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.38994) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.38994) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2021-08-20 |