| NPI | 1174899470 |
|---|---|
| Former Name | LAUREN ELIZABETH VAN ELDIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME135803) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2021-03-31 |