| NPI | 1851952832 |
|---|---|
| Former Name | LAURA MAE TERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009241A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 2019012949) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2025-08-05 |