NPI | 1396162509 |
---|---|
Former Name | LAUREN BLECH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.013349) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-03-25 |
Last Update Date | 2021-10-13 |