| NPI | 1174363287 |
|---|---|
| Former Name | LAUREN ELIZABETH VOGT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6001512) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |