| NPI | 1992175285 |
|---|---|
| Former Name | LAURA PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015034721) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2015034721) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2020-05-15 |