| NPI | 1619003951 |
|---|---|
| Former Name | LAURA GROOMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 43084) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KY 43084) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2017-04-07 |