| NPI | 1740734748 |
|---|---|
| Former Name | LAURA LEIGH ANTHONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP4674) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 4674) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4674) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 7077 - 33) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2021-08-03 |