| NPI | 1639515612 |
|---|---|
| Former Name | LAURA JOYE HAMMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101259549) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: MO 2014032443) |
| 208000000X Pediatrics (Licence: MO 20140332443) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2024-08-19 |