| NPI | 1023265527 |
|---|---|
| Former Name | LAURA RADCLIFFE KIZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9219851) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9219851) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2016-11-09 |