NPI | 1679201099 |
---|---|
Former Name | LAUREN JESSICA BELKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021854) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95064313) |
Enumeration Date | 2022-08-12 |
Last Update Date | 2022-08-12 |