NPI | 1891057741 |
---|---|
Former Name | LAUREN MICHELLE PANIZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0061073) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2018-10-08 |