NPI | 1447785787 |
---|---|
Former Name | LAUREN HYATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-16815) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0064383) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2023-07-18 |