| NPI | 1972999399 |
|---|---|
| Former Name | LAUREN VICTORIA YURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 4148) |
| Additional Taxonomies | 122300000X Dentist (Licence: WV 3901) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2025-06-06 |