NPI | 1255393997 |
---|---|
Former Name | LAURA JANE RAMSEY SHIRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA 097385) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA 097385) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2022-06-10 |