| NPI | 1316208440 |
|---|---|
| Former Name | LAUREN MARIE CIACCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 585153111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 327840091) |
| 174400000X Specialist (Licence: NY 626902121) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |