| NPI | 1831553429 |
|---|---|
| Former Name | LAUREN TENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN627164) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN627164) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2019-06-14 |