| NPI | 1104098110 |
|---|---|
| Other Name | LAURA TERESA GIDEON WITHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME 002800501) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA 602330543) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME102332) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WA 602330543) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2020-04-02 |