| NPI | 1629264312 |
|---|---|
| Former Name | LAURA MICHELLE FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME105819) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL TRN10889) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC TL33696) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2024-01-05 |