| NPI | 1184999583 |
|---|---|
| Former Name | LAURA JEAN SEIDENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NP36975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN/NP235975) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |