| NPI | 1295176154 |
|---|---|
| Former Name | LAURA STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15362100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR26810300) |
| 163WE0003X Registered Nurse, Emergency (Licence: NY 634960) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338504) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2025-08-25 |