| NPI | 1669711461 |
|---|---|
| Former Name | LAUREN DIEDRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.17809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337796) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2023-01-05 |