NPI | 1427051507 |
---|---|
Former Name | LAURA ISABELLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 11693) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NH 11693) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2021-11-11 |