| NPI | 1306096409 | 
|---|---|
| Former Name | LAURIE BETH MATT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35-096235)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-096235)  | 
| Enumeration Date | 2008-09-24 | 
| Last Update Date | 2015-02-20 |