| NPI | 1720566565 |
|---|---|
| Former Name | LAURIE ANN ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN23315) |
| 163W00000X Registered Nurse (Licence: TN RN140234) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-03-27 |