NPI | 1811157548 |
---|---|
Former Name | LAUREN MICHELLE BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01073718A) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 60164) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2021-02-13 |