| NPI | 1124348693 |
|---|---|
| Former Name | KELLY BETH LAUTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 253731) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2018-09-06 |