| NPI | 1659931178 |
|---|---|
| Former Name | LAUREN WATRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1051407) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN268442) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2022-05-01 |