| NPI | 1417445800 |
|---|---|
| Former Name | LAUREN CATHERINE QUISENBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T4589) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-09-28 |