NPI | 1902190671 |
---|---|
Former Name | LAUREN HALEY WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY R2659) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-05-31 |
Last Update Date | 2013-05-07 |