| NPI | 1043996028 |
|---|---|
| Former Name | LAURA PETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14107-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14107-33) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-08-16 |