NPI | 1972823557 |
---|---|
Former Name | LAURIE S WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD450079) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD450079) |
208000000X Pediatrics (Licence: PA MT196655) | |
Enumeration Date | 2010-06-07 |
Last Update Date | 2021-03-09 |