| NPI | 1699129387 |
|---|---|
| Former Name | LAUREN LEIGH HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2016012213) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-01-14 |