NPI | 1801290457 |
---|---|
Former Name | KATIE CHRISTINE LEE LAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 55883) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT207612) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2024-04-28 |