| NPI | 1942657945 |
|---|---|
| Former Name | TRISTAN LAWRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0027263) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.403716) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-10-06 |