| NPI | 1053762815 |
|---|---|
| Former Name | LAURIE ANN WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F307627) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307627) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-07-15 |