| NPI | 1639619075 |
|---|---|
| Former Name | LAUREN AILEEN ROSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342668) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 708952) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY f342668-1) | |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2019-05-08 |