NPI | 1619633385 |
---|---|
Former Name | LAUREN BETHANY EASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AR 216941) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: AR 216941) |
Enumeration Date | 2021-11-16 |
Last Update Date | 2023-08-02 |