NPI | 1285976639 |
---|---|
Former Name | LAUREN ELIZABETH MENKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101257319) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101257319) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2017-07-19 |