| NPI | 1366851297 |
|---|---|
| Former Name | LAURA E MAGARGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056993) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA056993) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2020-09-01 |