| NPI | 1518579135 |
|---|---|
| Former Name | LAURA JEAN BASSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 304010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN192948) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-02-23 |