| NPI | 1083064125 |
|---|---|
| Former Name | LAUREN ANASTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101025726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101022376) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2021-01-05 |