| NPI | 1083036990 |
|---|---|
| Former Name | LAURA IWATA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201705362NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201142492RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201705362NP-PP) | |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2024-03-28 |