NPI | 1467731554 |
---|---|
Former Name | LAURA D SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111284) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 111284) |
363LF0000X Nurse Practitioner, Family (Licence: NE 111284) | |
Enumeration Date | 2011-08-08 |
Last Update Date | 2018-05-14 |