| 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 |