| NPI | 1245672484 |
|---|---|
| Former Name | LAURA L VANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28191700A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004594A) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2025-07-23 |