| NPI | 1508284027 |
|---|---|
| Former Name | LAUREN TRAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP126012) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP126012) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-04-29 |