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 |