| NPI | 1366900938 |
|---|---|
| Former Name | LAURA WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2397863) |
| 163W00000X Registered Nurse (Licence: WI 237603-30) | |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2022-07-12 |