NPI | 1093122194 |
---|---|
Former Name | LAUREN ELIZABETH MACDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00487700) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2024-01-17 |