NPI | 1750640603 |
---|---|
Former Name | LAUREN M WALERYSZAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA SP014036) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014036) |
363L00000X Nurse Practitioner (Licence: PW SP014036) | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2024-10-09 |