NPI | 1689055600 |
---|---|
Former Name | LAUREN KAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0099384) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 203418) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2023-05-01 |