| NPI | 1194831933 |
|---|---|
| Former Name | LAUREL C. HILDERBRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002978) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030409) |
| 363A00000X Physician Assistant (Licence: NY 011914-1) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-07-30 |