| NPI | 1285623355 |
|---|---|
| Former Name | LAURA V. AVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME156431) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036111204) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-05-04 |