NPI | 1720423569 |
---|---|
Former Name | LAUREN MARA METCALFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201391237NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60401667) |
163W00000X Registered Nurse (Licence: OR 200740341RN) | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2013-08-06 |