| NPI | 1073942165 |
|---|---|
| Former Name | LAURA R. REIGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1951) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056448) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2020-10-12 |