| NPI | 1811431372 |
|---|---|
| Former Name | LAURYN PUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7441-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168693-30) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2017-02-08 |