NPI | 1891185120 |
---|---|
Former Name | LAUREN ALEXANDRA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036148270) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068464) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2023-09-06 |