| NPI | 1720649361 |
|---|---|
| Former Name | LAUREN NICOLE YATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012466) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-02-11 |