NPI | 1205060381 |
---|---|
Former Name | LAUREN ELIZABETH SHORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 55684) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX Q3772) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-05-05 |
Last Update Date | 2022-03-30 |