| NPI | 1578806717 |
|---|---|
| Former Name | LAURA A BOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 289073) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289073) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 289073) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-07-07 |