NPI | 1699427542 |
---|---|
Former Name | LAUREN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-155498) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-155498) |
Enumeration Date | 2022-01-21 |
Last Update Date | 2023-05-12 |