| NPI | 1336876333 |
|---|---|
| Former Name | LAURA L BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01346600) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01346600) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-04-08 |