| NPI | 1013466523 |
|---|---|
| Former Name | LAUREN DICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012396) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704284745) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-06-26 |