NPI | 1689110462 |
---|---|
Former Name | LAUREN HERMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200641158RN) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200641158RN) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2022-06-10 |