| NPI | 1790160521 |
|---|---|
| Former Name | LAUREL ANN STATON-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201505797NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60583839) |
| 163W00000X Registered Nurse (Licence: OR 201141388RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60583470) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2023-12-29 |