| NPI | 1053313601 |
|---|---|
| Former Name | LAURI BETH DICKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2008-0795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 10683) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 10683) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-08-12 |