| NPI | 1760725543 |
|---|---|
| Former Name | LAUREN KELLEY ACTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2015-02-02 |