| NPI | 1093058463 |
|---|---|
| Former Name | LAURA ELLEN SCHIESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 55905) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2018-01536) |
| 207Q00000X Family Medicine (Licence: AZ 56179) | |
| 207Q00000X Family Medicine (Licence: CA A158424) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-03-25 |