| NPI | 1184749319 |
|---|---|
| Former Name | LAUREL L WALTER-BAUMSTARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 95757) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO MD100863) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-12-19 |