| NPI | 1518567767 |
|---|---|
| Former Name | LAURA GARRETT WEATHERBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 297666) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN320945) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-12-26 |