NPI | 1558975078 |
---|---|
Former Name | LAUREN MORRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021886) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021886) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-10-06 |