NPI | 1154390086 |
---|---|
Former Name | LAURA ANN PAGANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3149-0) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 486376) |
363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-3149-0) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2021-06-04 |