| NPI | 1003296054 |
|---|---|
| Former Name | MARY LAUREN CHEEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 229124) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-12 |