| NPI | 1104339456 |
|---|---|
| Former Name | LAUREN REBECCA ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60826381) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-09-24 |