NPI | 1578923538 |
---|---|
Former Name | LAUREN LUCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R242845) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003655) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2022-12-07 |