NPI | 1245538073 |
---|---|
Former Name | LAUREN BESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 12120) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 336938) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2016-10-11 |