NPI | 1326482894 |
---|---|
Former Name | LAUREN AMANDA GREB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA rn2277127) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2277127) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2277127) | |
Enumeration Date | 2013-04-26 |
Last Update Date | 2024-02-08 |