| NPI | 1396110490 |
|---|---|
| Former Name | LAURA REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.270733) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020023784) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-04-17 |