NPI | 1649827809 |
---|---|
Former Name | LAUREN MARIE MASSURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71013140A) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041412336) |
163WG0000X Registered Nurse, General Practice (Licence: IN 28222970A) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.022266) | |
Enumeration Date | 2019-08-22 |
Last Update Date | 2023-02-17 |