NPI | 1154528396 |
---|---|
Former Name | LAUREN PARKER DEWITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0095116) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5728) |
207R00000X Internal Medicine (Licence: CA C145347) | |
Enumeration Date | 2007-06-29 |
Last Update Date | 2023-04-13 |