NPI | 1629576368 |
---|---|
Former Name | LAUREN MENEGHETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010381A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.017186) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2023-05-05 |