| NPI | 1255453007 |
|---|---|
| Former Name | LAURIE L GREGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005752) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 214151) |
| 163W00000X Registered Nurse (Licence: MA RN2262641) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2262641) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-10-25 |