| NPI | 1861491185 |
|---|---|
| Former Name | LAURA CHRISTINE SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6741) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2009-02-04 |