NPI | 1174189526 |
---|---|
Former Name | LAURA TERAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 822560) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 822560) |
Enumeration Date | 2019-05-11 |
Last Update Date | 2024-02-08 |