| NPI | 1548205966 |
|---|---|
| Former Name | LAURA M WREYFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017022385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP768A) |
| 363L00000X Nurse Practitioner (Licence: ID NP-768A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A01136 ANP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A01136 ANP) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-07-21 |