| NPI | 1457790529 |
|---|---|
| Former Name | LAUREN ANNE VIGIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 80009) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD461775) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-05-10 |