NPI | 1538222054 |
---|---|
Former Name | LAURA E. HARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 54748) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 105782) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036104901) | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2020-08-19 |