| NPI | 1538417142 |
|---|---|
| Former Name | LAURA ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ AP4624) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID 66347) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-09-15 |