| NPI | 1053973750 |
|---|---|
| Former Name | LAURA CLESI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA 320054) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2021-03-31 |