NPI | 1811487945 |
---|---|
Former Name | LAURA KATHERINE GREMILLION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR R091912) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2024-05-20 |