| NPI | 1700259132 |
|---|---|
| Former Name | LAURA MAY PAYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 60538295) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA 087296) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |