| NPI | 1093070278 |
|---|---|
| Former Name | LAURA MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-103234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48571) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2026-06-23 |