NPI | 1427027374 |
---|---|
Former Name | LAURA COLE CRITTENDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 0101238567) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 0101238567) |
207Q00000X Family Medicine (Licence: NC 2024-02236) | |
207Q00000X Family Medicine (Licence: VA 0101238567) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2025-10-08 |