NPI | 1184199531 |
---|---|
Former Name | LAUREN HUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 20901968) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IL 041409897) |
Enumeration Date | 2018-10-11 |
Last Update Date | 2023-02-13 |