| 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 |