| NPI | 1407482334 |
|---|---|
| Former Name | LAURA JULIANA WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: RI MD19142) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.151036) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-05-16 |