NPI | 1104476019 |
---|---|
Former Name | LAURA BATY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 232650) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 232650) |
Enumeration Date | 2019-09-13 |
Last Update Date | 2025-03-10 |