| NPI | 1871743492 |
|---|---|
| Former Name | LAURA LINN KALAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0005746-NP) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 160489) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0005746-NP) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-05-28 |