| NPI | 1154097160 |
|---|---|
| Former Name | LAUREN MAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248443) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-02-16 |