NPI | 1518542695 |
---|---|
Former Name | LAUREN A WILKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-154332) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-154332) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2025-03-06 |