| NPI | 1972949642 |
|---|---|
| Former Name | LAURA PROEHL SHOEMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 322364) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT MED-PHYS-LIC-58089) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2023-11-13 |