NPI | 1295213445 |
---|---|
Former Name | LAUREN ANNE BRESINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 12094) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8409-33) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-10-16 |