NPI | 1881805794 |
---|---|
Former Name | LAURA KATHLEEN DONIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO CDRH.0048424) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016015482) |
207R00000X Internal Medicine (Licence: NM MD2017-0676) | |
207R00000X Internal Medicine (Licence: CO 2328) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2024-06-14 |