| NPI | 1003524257 |
|---|---|
| Former Name | LAUREN CATHERINE HENDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 028799) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 028799) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-11-20 |