NPI | 1477718419 |
---|---|
Professional Name | LAURA JEAN MCELLIGOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850064NP FNP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 081046951RN) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2012-06-15 |