NPI | 1326693367 |
---|---|
Former Name | LAURA LEANN MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006007RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9112301) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2022-01-27 |