NPI | 1437241999 |
---|---|
Former Name | LAURIE A. EKKEBUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 3002) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 144764) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2016-12-21 |