| NPI | 1427866706 |
|---|---|
| Other Name | LAUREN BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041503296) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-04-11 |