| NPI | 1194024828 |
|---|---|
| Former Name | LAURA LYNN HOAGLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017357) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN622392) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2017-06-01 |