| 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 |