| NPI | 1780983171 |
|---|---|
| Former Name | LAURA KOLLAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MI 4301098702) |
| Additional Taxonomies | 2085R0001X (Licence: WA ML60287716) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2016-03-29 |