| NPI | 1942505045 |
|---|---|
| Former Name | LARA HEATHER DRIGGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA a133366) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2024-08-06 |