NPI | 1154934321 |
---|---|
Former Name | LAUREN MARCHINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010430A) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28204569A) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2024-03-08 |