NPI | 1952613218 |
---|---|
Former Name | LAUREN BETH KOPYT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 049286) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08786200) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2022-01-03 |