| NPI | 1801264023 |
|---|---|
| Former Name | LAURA BETH MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP145172) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 225075-30) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 827557) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WI 225075-30) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2022-04-08 |