NPI | 1568441582 |
---|---|
Former Name | LAURA STONE ELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0058313) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D58313) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2023-06-12 |