NPI | 1811493307 |
---|---|
Former Name | LAURA HOOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007983A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28185464A) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-04-17 |