| NPI | 1730522178 |
|---|---|
| Former Name | LAURA ANN ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP123511) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 794738) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-10-01 |