| NPI | 1497098503 |
|---|---|
| Former Name | LAURA ANN FAZIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 286460) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 138898) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2018-05-30 |