NPI | 1154188936 |
---|---|
Former Name | LAUREN LOUISE GRZESKOWIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209029340) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-029340) |
Enumeration Date | 2024-02-28 |
Last Update Date | 2025-02-11 |