| NPI | 1760701247 |
|---|---|
| Former Name | LAUREN HADIN JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017194) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 234460) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2021-09-23 |