NPI | 1366879835 |
---|---|
Former Name | LAUREN SKOWRONSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 18385) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 18385) |
363LP2300X Nurse Practitioner, Primary Care (Licence: SC 18385) | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2015-04-08 |