| NPI | 1265031355 |
|---|---|
| Former Name | LAURA ANNE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA N361145372) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR36490) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2022-07-19 |