| NPI | 1831573955 |
|---|---|
| Former Name | LAUREN BRODIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704281184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R216287) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173283) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2021-01-22 |