| NPI | 1235834987 |
|---|---|
| Former Name | LAUREN FULMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 090725-23) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-12-20 |