NPI | 1073963013 |
---|---|
Former Name | HANNA LOU LAUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OR PA192999) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: WA PA61034282) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2022-11-09 |