NPI | 1043975527 |
---|---|
Former Name | LAURA ROCHELLE GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024181740) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024181740) |
Enumeration Date | 2021-11-01 |
Last Update Date | 2023-03-23 |