NPI | 1518930072 |
---|---|
Former Name | LAURA RENEE FLEMING SAVAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN081665 APO4322) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2021-02-16 |