| NPI | 1518344050 |
|---|---|
| Former Name | LAURA ANDREAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-76644-021) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2015001955) |
| 363L00000X Nurse Practitioner (Licence: KS 76644) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-01-11 |