| NPI | 1639834682 |
|---|---|
| Former Name | LAURIBETH H AGEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5380655112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015024309) |
| 163W00000X Registered Nurse (Licence: KS 14133699112) | |
| 363L00000X Nurse Practitioner (Licence: MO 2021042806) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-07-26 |