| NPI | 1275576191 |
|---|---|
| Former Name | LAURA SUSAN SPEIDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12304) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10000548A) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2026-05-03 |