| NPI | 1548576135 |
|---|---|
| Former Name | LAURETTE LYNN DANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN281834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 056546-23) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2021-06-14 |