NPI | 1265176507 |
---|---|
Former Name | LAUREN HOCHSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704297469) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704297469) |
Enumeration Date | 2022-04-22 |
Last Update Date | 2023-10-19 |