| NPI | 1245867993 |
|---|---|
| Former Name | LAUREN STOCKARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 12404283-1205) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2021-09-02 |