NPI | 1265963706 |
---|---|
Former Name | LAUREN M STORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AR E-15577) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AR e-15577) |
Enumeration Date | 2017-03-26 |
Last Update Date | 2022-08-29 |