| NPI | 1710522925 |
|---|---|
| Former Name | LAUREN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 1301) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS HA0664) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |