NPI | 1356781843 |
---|---|
Former Name | LAUREN NICOLE BOWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: AZ 007128) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R2243) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2023-07-17 |