| NPI | 1760818793 |
|---|---|
| Former Name | LAURA LYNNE NOVAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.15160-NA) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2016-08-18 |