NPI | 1184228934 |
---|---|
Former Name | LAUREN RUTH PEMBERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO APN.0996061-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996061-NP) |
Enumeration Date | 2020-11-23 |
Last Update Date | 2025-03-06 |