| NPI | 1649884289 |
|---|---|
| Former Name | MIRIAM ANNE LAUTENSCHLAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2308486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2308486) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-12-19 |