| NPI | 1053797860 |
|---|---|
| Former Name | LAUREN D RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109099) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9109099) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2023-05-09 |