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 |