| 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 |