| NPI | 1134431414 |
|---|---|
| Former Name | LAURA MARIE RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS T-2357) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 207402) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2022-10-10 |