| NPI | 1861998593 |
|---|---|
| Former Name | LAUREN AMELIA FALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101268659) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101268659) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-07-08 |