| NPI | 1740616770 | 
|---|---|
| Former Name | LAURA BETHANY RICHTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201406086NP) | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 232481) | 
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5006497) | |
| Enumeration Date | 2013-09-23 | 
| Last Update Date | 2019-05-06 |