NPI | 1427591627 |
---|---|
Former Name | LAUREN BREWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 903381) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22087) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2023-11-03 |