| NPI | 1760878235 |
|---|---|
| Former Name | LAUREN NICHOLE SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD046372) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD D0086816) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2019-06-26 |