NPI | 1760477590 |
---|---|
Former Name | LAURIE PAULINE BEESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1593943) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1593943) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2020-09-25 |