| NPI | 1730111485 |
|---|---|
| Former Name | LAURA D WITTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200250178NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200250178NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006763) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-05-20 |