NPI | 1780051458 |
---|---|
Former Name | LAUREN MARIE TRUDEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN CNP4047) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R196172-4) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |