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 |