| NPI | 1760148464 |
|---|---|
| Former Name | LAUREN PITTARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 25484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 25484) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-04-18 |