| NPI | 1023502341 |
|---|---|
| Former Name | LAUREN ELIZABETH TREACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176007) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176007) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024176007) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0024176007) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024176007) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-10-03 |