| NPI | 1578705448 |
|---|---|
| Former Name | LAURA ELIZABETH FOLSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.208024) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 50233) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2015-11-09 |