| NPI | 1033532601 |
|---|---|
| Former Name | LAUREN ANN COSTABILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F353749-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 551079-1) |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2024-08-25 |