NPI | 1790944239 |
---|---|
Former Name | LAUREN BERTELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 53494) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449171) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2021-06-16 |