NPI | 1043322019 |
---|---|
Former Name | LAURA ELIZABETH MCILWAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME84358) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84358) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2018-10-01 |