NPI | 1114390184 |
---|---|
Former Name | LAUREN ELIZABETH PRICKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20224) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC L213905) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2025-02-06 |