| NPI | 1386024446 |
|---|---|
| Former Name | LAURA ELIZABETH CONRAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 89696) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01081878A) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IN 01081878A) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: SC 89696) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-03-14 |