| NPI | 1912445461 |
|---|---|
| Former Name | LAUREN BERL BRANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225594) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2024-09-16 |