| NPI | 1003388919 |
|---|---|
| Former Name | LAURA ELIZABETH GINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 8017) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-12-01 |