| NPI | 1508245119 |
|---|---|
| Former Name | LAUREN KRAICS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2022-01371) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102205732) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0102205732) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2022-06-01 |