| NPI | 1902327612 |
|---|---|
| Former Name | LAURA JEANNE SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2261893) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2261893) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA 2261893) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2021-04-19 |