| NPI | 1588794564 |
|---|---|
| Former Name | LAURIE LEE MORELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 1952382) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-09-25 |