NPI | 1295749034 |
---|---|
Former Name | LAURA B SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036110891) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036110891) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-01-31 |