| NPI | 1063932192 |
|---|---|
| Former Name | LAURA ELLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME143656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP7938) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-03-24 |