| NPI | 1215263652 |
|---|---|
| Former Name | LAUREN J. CARLISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R872453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R872453) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2017-09-18 |