| NPI | 1295244390 |
|---|---|
| Former Name | LAURA ANN AUSDENMOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: OH 403769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1153476) |
| 146N00000X Emergency Medical Technician, Basic (Licence: OH 160474) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |