| NPI | 1366802282 |
|---|---|
| Former Name | LAUREL KRASIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2024-09-19 |