| NPI | 1093079634 |
|---|---|
| Former Name | LAUREL KATHERINE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 2014-02254) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-02254) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 40587) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-08-13 |