| NPI | 1063089944 |
|---|---|
| Former Name | LAUREN NICOLE PICCIOLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024182167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001275757) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-11-08 |