| NPI | 1528171212 |
|---|---|
| Former Name | LAURIE ELLEN HURTADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD19022) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD00040814) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |