| NPI | 1710265137 |
|---|---|
| Former Name | LAUREN ELIZABETH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010327) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001671) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-08-29 |