NPI | 1396315354 |
---|---|
Former Name | LAUREN MICHELLE PINEDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011258A) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2023-09-20 |