| NPI | 1124548631 |
|---|---|
| Former Name | LAUREN MARIE KLUTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 2594) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-08-03 |