| NPI | 1114386752 |
|---|---|
| Former Name | LAURA MARIE DEBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.377186) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2019-09-12 |