NPI | 1851674329 |
---|---|
Former Name | LAUREN ANN FIOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 22706) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 100059) |
163W00000X Registered Nurse (Licence: CA 816397) | |
Enumeration Date | 2011-09-21 |
Last Update Date | 2014-03-10 |