NPI | 1851527055 |
---|---|
Former Name | LAUREN MICHELLE BUTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 116166) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN13997) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2013-08-01 |