NPI | 1790139392 |
---|---|
Former Name | LAUREN PITTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102205015) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-20 |
Last Update Date | 2023-11-14 |