| NPI | 1235634353 |
|---|---|
| Former Name | LAURA EILEEN SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 71975-021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 71975-021) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2026-10-02 |