NPI | 1760882948 |
---|---|
Former Name | LAURA CIPRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: UT 9106742-4405) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 6697) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2023-10-05 |