NPI | 1992166904 |
---|---|
Former Name | LAUREN BOYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 104647) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NE 24655) |
Enumeration Date | 2016-03-18 |
Last Update Date | 2016-03-18 |