| NPI | 1326701277 |
|---|---|
| Former Name | LAUREN GRACE AWE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202111824NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202106237) |
| 163W00000X Registered Nurse (Licence: NE 81327) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-02-21 |