| NPI | 1891800116 |
|---|---|
| Former Name | LAURA NORTON FAGERLUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A72085) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A72085) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-12-11 |