| NPI | 1417932567 |
|---|---|
| Former Name | LAURIE EILEEN MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA 85069) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 094302) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2025-12-04 |