NPI | 1891358826 |
---|---|
Former Name | LAUREN NICOLE SLESUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 65261) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-16 |
Last Update Date | 2023-03-15 |