| NPI | 1285121699 |
|---|---|
| Former Name | LENA ALEXANDRIA CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX T5455) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10064221) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-01-20 |