| NPI | 1336876333 |
|---|---|
| Former Name | LAURA L BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 26NJ01346600) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |