NPI | 1487004065 |
---|---|
Former Name | LAUREN CLEMENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 64828) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-06-15 |
Last Update Date | 2021-04-14 |