NPI | 1083804405 |
---|---|
Former Name | LAURA E. FLEINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005112) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 1599) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2014-08-11 |