NPI | 1033473731 |
---|---|
Former Name | LAUREN DIANE HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2144) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 2144) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2021-09-22 |