| NPI | 1043734411 |
|---|---|
| Former Name | LAURA KRIS DUDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-03323) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-05-24 |