| NPI | 1598113011 |
|---|---|
| Former Name | LAUREN BROSMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012496A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012496A) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2018-06-19 |