NPI | 1831158781 |
---|---|
Former Name | LAURA LENEE KUIPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 45768) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 34341) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2025-04-28 |