NPI | 1952786691 |
---|---|
Former Name | LAUREN KELLY GARLICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.17674-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.17674-NP) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2024-04-23 |