Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A11830 | CA |
NPI | 1235397324 |
---|---|
Provider Name | Dr. Laura Ann Woodrow |
First Address | Palo Alto, CA 94306-4006 |
Second Address | Palo Alto, CA 94306-4006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 04/10/2011 |