| NPI | 1659617579 |
|---|---|
| Former Name | LAURA BETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 007053) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 007053) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2024-01-29 |