NPI | 1194283325 |
---|---|
Former Name | LAUREN LEEAMME POLETO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R226135) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC POLE-L5EP1K) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2021-09-20 |