| NPI | 1023504636 |
|---|---|
| Former Name | LAUREN M. DAHLQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 79828) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-09-28 |