| NPI | 1457692683 |
|---|---|
| Former Name | LAURA MICHELE BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102207913) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22845) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0116033137) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2023-06-01 |