NPI | 1700341351 |
---|---|
Former Name | LAUREN ELIZABETH BENOIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 202300141) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 33032) |
Enumeration Date | 2019-02-07 |
Last Update Date | 2024-07-05 |