| NPI | 1992098305 |
|---|---|
| Former Name | LAUREN KATE DELOACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN DO3720) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 03660) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2020-09-17 |