| NPI | 1255698510 |
|---|---|
| Former Name | LAURA JEAN CARLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0995663-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 189678) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-07-14 |