NPI | 1902216468 |
---|---|
Former Name | LAUREN ALEXANDRIA TAKEHANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A14245) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S3632) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2024-06-26 |