NPI | 1578682258 |
---|---|
Former Name | LAURIE LEE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R149149) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1005098) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2012-09-06 |