| NPI | 1336930999 |
|---|---|
| Former Name | LAURIE ANN CHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: KS 13-71255-041) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |