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 | 2024-10-22 |