| NPI | 1689731598 |
|---|---|
| Former Name | LAUREN RAE PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 256362-1) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: PA MD438970) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-12-08 |