| NPI | 1013523786 |
|---|---|
| Former Name | LAURYN TAYLOR BERRETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 082636-23) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-03-13 |