| NPI | 1619304136 |
|---|---|
| Former Name | LAURA BETH ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024169793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001213281) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169793) | |
| Enumeration Date | 2013-09-29 |
| Last Update Date | 2016-04-29 |