NPI | 1316287550 |
---|---|
Former Name | LAURIE HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013003472) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75931-082) |
Enumeration Date | 2013-02-25 |
Last Update Date | 2016-09-13 |