| NPI | 1831447333 |
|---|---|
| Former Name | LAURA BETH UNDERDOWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 35091.1380) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2022-12-13 |