NPI | 1053949859 |
---|---|
Former Name | LAURA STOLP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77369) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 77369) |
Enumeration Date | 2020-03-29 |
Last Update Date | 2025-07-30 |