NPI | 1750810354 |
---|---|
Former Name | LAURA ELIZABETH MCDERMOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 322004-01) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10060351) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-10-22 |