| NPI | 1023412608 |
|---|---|
| Former Name | LAURA SCHALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7756) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2025-10-27 |