| 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 |