| NPI | 1578910659 |
|---|---|
| Former Name | LAURA ASHLEY HECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD466833) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT210533) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-05-09 |