| NPI | 1386747343 |
|---|---|
| Former Name | LAURIE JEAN GEHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209 000817) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209 000817) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-09-21 |