| NPI | 1275940983 |
|---|---|
| Former Name | LAUREN CHRISTINE CACCAVALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NC 787) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 603966) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 603966) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 603966) | |
| 367A00000X Advanced Practice Midwife | |
| 367A00000X Advanced Practice Midwife (Licence: NC 787) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2025-06-02 |