| NPI | 1235401282 |
|---|---|
| Former Name | LAURA MALONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007486) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2022-09-12 |