| NPI | 1467334656 |
|---|---|
| Former Name | LAUREN ELIZABETH MCKEOWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17219-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242498-30) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-08-04 |