NPI | 1720341829 |
---|---|
Former Name | LAUREN SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34012355) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101019821) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2023-04-21 |