| NPI | 1821222688 |
|---|---|
| Former Name | LAURA E WITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2359) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58.002544) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2011-10-04 |