| NPI | 1447241468 |
|---|---|
| Former Name | LAURA KEATING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 20972) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: WV 20972) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-03-04 |