| 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 |