| NPI | 1760877765 |
|---|---|
| Former Name | LAURA GRACE GOERGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60961186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95047545) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201905022NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004793) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2020-09-23 |