NPI | 1356821805 |
---|---|
Former Name | LAUREN PATRICIA PACCIONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308853) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 308853) |
363LF0000X Nurse Practitioner, Family (Licence: NY 308853) | |
Enumeration Date | 2018-08-15 |
Last Update Date | 2024-06-11 |