| NPI | 1275867186 |
|---|---|
| Former Name | CATHERINE M LAURENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2736) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 2736023) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2015-12-03 |