| NPI | 1740729516 |
|---|---|
| Former Name | LAUREN CHANDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN214012) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN214012) |
| 363L00000X Nurse Practitioner (Licence: GA RN214012) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2024-01-24 |