| 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 |