| NPI | 1023540978 |
|---|---|
| Former Name | LAURA CATHERINE TILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60748250) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA 60740767) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |