NPI | 1639469539 |
---|---|
Former Name | LAUREN AHIATSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 0000015786) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TN 0000015786) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2024-05-17 |