NPI | 1518097377 |
---|---|
Former Name | SAMANTHA J LAPORTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 5234) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2021-06-11 |