| NPI | 1346603594 |
|---|---|
| Former Name | LAURA MEGAN LOGEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0007626) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031824) |
| 363A00000X Physician Assistant (Licence: VA 0110010470) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-11-01 |