| NPI | 1851702716 |
|---|---|
| Former Name | LAUREN DANIELLE INNERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: WV 4307) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: PA OS017796) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2024-07-30 |