NPI | 1740908649 |
---|---|
Former Name | LAUREN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016743) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9444447) |
Enumeration Date | 2022-08-16 |
Last Update Date | 2022-08-16 |