| NPI | 1619268620 |
|---|---|
| Former Name | LAURA ROSE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: DE C2-0012171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013996) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2022-07-21 |