| NPI | 1114488863 |
|---|---|
| Former Name | LAURA MITCHELL MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101275616) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101275616) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-10 |