NPI | 1114912888 |
---|---|
Former Name | LAURIE M MCPEARCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 35045) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VI 1957) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2023-08-04 |