| NPI | 1710368105 |
|---|---|
| Former Name | LAUREN STORBAKKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R1136) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10054658) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-08-10 |