NPI | 1134820806 |
---|---|
Former Name | LAUREN MARY DONALDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61262301) |
Additional Taxonomies | 208D00000X General Practice (Licence: WA MD61262301) |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-03-10 |