| 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 |