NPI | 1982228995 |
---|---|
Former Name | LAUREN POAG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 212492) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R105246) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-07-16 |