NPI | 1922494566 |
---|---|
Former Name | LAUREN VISSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-01701) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2016-01701) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2016-01701) | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2021-12-14 |