| NPI | 1346071503 |
|---|---|
| Former Name | LAURA ANNE HOLZBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001149213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164801) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |