| NPI | 1548938319 |
|---|---|
| Former Name | LAURA HAZELGREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01190100) |
| Enumeration Date | 2021-09-05 |
| Last Update Date | 2025-03-19 |