NPI | 1053708362 |
---|---|
Former Name | LAUREN AMBER GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024172752) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0024172752) |
363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172752) | |
163W00000X Registered Nurse (Licence: VA 0001198011) | |
Enumeration Date | 2015-04-24 |
Last Update Date | 2023-05-19 |