NPI | 1588046411 |
---|---|
Former Name | LAWREN ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 83070) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 7565) |
Enumeration Date | 2015-06-27 |
Last Update Date | 2019-09-24 |