| NPI | 1003075136 |
|---|---|
| Former Name | LAUREN TALANDA FATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35120378) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301099402) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2024-04-10 |