| NPI | 1376927996 |
|---|---|
| Former Name | LAURA WACHTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011413) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015251) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP015251) | |
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: PA RN616052) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-08-07 |