NPI | 1114413911 |
---|---|
Former Name | LAUREN EHLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R55701) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L16233) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2024-11-21 |