| NPI | 1093119091 |
|---|---|
| Former Name | LAURA FORSYTHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA NPPA021756) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2019-11-05 |