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 (Licence: WV 20972) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2013-03-04 |