NPI | 1093149460 |
---|---|
Former Name | LAUREN LEE ROBERTS |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15364-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN315322) |
163W00000X Registered Nurse (Licence: WV 65205) | |
Enumeration Date | 2013-08-21 |
Last Update Date | 2025-01-30 |