NPI | 1215561634 |
---|---|
Former Name | LAUREN ELIZABETH HAEHNEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61298169) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60633345) |
163W00000X Registered Nurse (Licence: MI 4704298165) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61298169) | |
Enumeration Date | 2020-02-25 |
Last Update Date | 2022-09-28 |