| NPI | 1134679608 |
|---|---|
| Former Name | LAUREN WILSON MACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 087104-21) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH CNM03681) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2023-01-26 |