| NPI | 1093070278 |
|---|---|
| Former Name | LAURA MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD181950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11016667A) |
| 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-103234) | |
| 207R00000X Internal Medicine (Licence: KY 48571) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-02-19 |