NPI | 1689327488 |
---|---|
Former Name | LAURA T WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017649) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11017649) |
Enumeration Date | 2022-02-01 |
Last Update Date | 2024-01-24 |