| NPI | 1790980993 |
|---|---|
| Former Name | LAURA RENEE BYRNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8067) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 046790) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-11-22 |