NPI | 1053798660 |
---|---|
Former Name | LAURA SHELTON CONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2018-00802) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-04 |
Last Update Date | 2021-05-10 |