| NPI | 1043417892 |
|---|---|
| Former Name | LAURA K ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2012003217) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 39532) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-05-09 |