NPI | 1053718395 |
---|---|
Former Name | LAUREL ELIZABETH NORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9310459) |
Enumeration Date | 2014-12-02 |
Last Update Date | 2023-01-18 |