| 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 |