| NPI | 1295283075 |
|---|---|
| Former Name | LAURA ELIZABETH JOHNSON/HARRELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM 0299) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2019-02-14 |