| NPI | 1356996771 |
|---|---|
| Former Name | LAUREN E PHILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP143741) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ PENDING) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2021-07-22 |