| NPI | 1528043767 |
|---|---|
| Former Name | LAURA MARIE AGOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2001019009) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 019009) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2021-01-18 |