| NPI | 1801420187 |
|---|---|
| Former Name | LAUREN TRACY KESACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02268) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02268) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-07-21 |