| NPI | 1538459078 |
|---|---|
| Former Name | LEAURA BROOKE WHITWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL F0611195) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R864191) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2024-04-17 |