| NPI | 1578040077 |
|---|---|
| Former Name | KATRINA MARIE LAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174012) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11624) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-02-09 |