NPI | 1366893463 |
---|---|
Former Name | LAUREN ELIZABETH CSONKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.019362) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.380243) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2017-06-27 |