| NPI | 1265695472 |
|---|---|
| Former Name | LAURA SUSAN MAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 58837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 52431) |
| 207R00000X Internal Medicine (Licence: MN 58837) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 52431) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-07-21 |