| NPI | 1972214591 |
|---|---|
| Former Name | LAURA JEAN CULBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13943) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A172123) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-07-17 |