NPI | 1174999304 |
---|---|
Former Name | LAURA CARROLL DOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172859) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN1019721) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MD RN217592) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024172859) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2023-11-27 |