| NPI | 1962939736 |
|---|---|
| Former Name | LAURA SPENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 741824) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 327383) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-01-17 |