| NPI | 1255803375 |
|---|---|
| Former Name | LAUREN DILLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202003116NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994366-NP) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2022-09-07 |