| NPI | 1891995536 |
|---|---|
| Former Name | LAURA M GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301089992) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-03-11 |