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 |