| NPI | 1649266685 |
|---|---|
| Former Name | LAURA JANE WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF10053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF10053) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2013-01-24 |