NPI | 1215321500 |
---|---|
Former Name | LAUREN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD473554) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0014063) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2024-10-16 |