| NPI | 1003548496 |
|---|---|
| Former Name | LAURA WOODWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 8773) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 8773) |
| Enumeration Date | 2022-06-26 |
| Last Update Date | 2025-06-06 |