NPI | 1578858692 |
---|---|
Former Name | LAUREN REBECCA BIGONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101255824) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33709) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2016-12-19 |