NPI | 1326191701 |
---|---|
Former Name | LAURA CAROLYN BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115665) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 3045) |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001358-C-NP) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2024-02-13 |