| NPI | 1134649007 |
|---|---|
| Other Name | LARA DEFTERDERIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A157259) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-06-30 |