NPI | 1184783177 |
---|---|
Former Name | LAURA MARLENE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G51809) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2011-07-14 |