NPI | 1679551329 |
---|---|
Other Name | LAURIE JO PEREIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R217274-5) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP2638602) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2014-11-20 |