| NPI | 1043638562 |
|---|---|
| Former Name | LAURA MEADOWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: UT 12220364-1205) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 036.167893) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.167893) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-04-30 |