NPI | 1487905295 |
---|---|
Former Name | LAUREN E SHIPLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2023042110) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012029028) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2024-03-08 |