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 |