| NPI | 1114210770 |
|---|---|
| Former Name | LAURA JANE PARESO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX P9201) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 286423-1) |
| 207Q00000X Family Medicine (Licence: NY 286423-1) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2021-03-17 |