NPI | 1730430406 |
---|---|
Former Name | LAURA LESLIE RECZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 057922-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 057922-23) |
Enumeration Date | 2012-09-21 |
Last Update Date | 2024-08-05 |