NPI | 1205598372 |
---|---|
Former Name | LAUREN HUTCHISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012693A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016763) |
Enumeration Date | 2021-10-06 |
Last Update Date | 2022-07-08 |