| NPI | 1790205342 |
|---|---|
| Former Name | LAUREN NICOLE CORREA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 63432) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301504910) |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2022-03-24 |