| NPI | 1538579768 |
|---|---|
| Former Name | KARI LAUDERBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 57.024615) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2015-04-15 |