| NPI | 1912296799 |
|---|---|
| Former Name | LAURA PHYLLIS PERRY FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD215279) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A150677) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 262749) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD215279) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2023-11-02 |