| 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 |