| NPI | 1679118186 |
|---|---|
| Former Name | LAURA ROBIN O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 644782) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-01-04 |