NPI | 1093166472 |
---|---|
Former Name | LAUREN ALEXANDRA OSTROSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA53858) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-06-27 |
Last Update Date | 2020-08-10 |