| 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 | 2024-12-12 |