NPI | 1316729064 |
---|---|
Former Name | LAUREEN PAIGE HIGHWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0035128) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 117726) |
Enumeration Date | 2023-10-17 |
Last Update Date | 2023-10-17 |