NPI | 1275804569 |
---|---|
Former Name | LAUREN ELIZABETH QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-114399) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-114399) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2021-05-03 |