NPI | 1427317114 |
---|---|
Former Name | LAURA MARY LESOVITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019346) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012099) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2019-01-30 |