| NPI | 1194985655 |
|---|---|
| Former Name | LAURA F PODBOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000141) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2010-07-13 |