| NPI | 1184877367 |
|---|---|
| Former Name | LAURIE MARIE JONDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.003186) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003186) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2018-08-02 |