| NPI | 1821024209 |
|---|---|
| Former Name | LAURA SUSANNE WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 0420011595) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD425756) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-01-15 |