NPI | 1255676409 |
---|---|
Former Name | LAUREN M. COMMARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009860) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041373844) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2013-11-22 |