NPI | 1114295219 |
---|---|
Former Name | LAUREN EVA MAGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015500) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 006318) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2022-12-22 |