NPI | 1245792092 |
---|---|
Former Name | LAUREN RAE SPECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN25663) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN209260) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2022-03-31 |