NPI | 1316602360 |
---|---|
Professional Name | LAUREN MARY BONHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10196) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 10196) |
Enumeration Date | 2021-11-04 |
Last Update Date | 2025-02-19 |