NPI | 1255747648 |
---|---|
Former Name | LAURA LEATHERMAN-CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 281) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TN APN0000018785) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2023-12-21 |