NPI | 1083341762 |
---|---|
Former Name | LAUREN DURIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022025657) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022025657) |
Enumeration Date | 2022-08-03 |
Last Update Date | 2023-10-17 |