NPI | 1205255338 |
---|---|
Former Name | LAURA ELIZABETH CASSODY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R8428) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10050219) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2018-08-03 |