NPI | 1144554163 |
---|---|
Former Name | LAUREN NOELLE SAFRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030742) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003153) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2020-08-06 |