| NPI | 1689048696 |
|---|---|
| Former Name | LAUREN WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP0000000) |
| 163W00000X Registered Nurse (Licence: PA RN609094) | |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP015671) | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2020-11-19 |