NPI | 1598506362 |
---|---|
Former Name | LAUREN ASHLEY SOMMERFELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: UT 11589986-3102) |
Enumeration Date | 2024-06-04 |
Last Update Date | 2024-06-05 |