| NPI | 1144301482 |
|---|---|
| Former Name | LAUREL JEAN BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066573A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 27960) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-06-24 |