| NPI | 1427051721 |
|---|---|
| Former Name | LAURIE GREER RENDLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 34944) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: KY 34944) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-10-05 |