| NPI | 1427839976 |
|---|---|
| Former Name | LAURA JANE MCCLENAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 38466) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |