| NPI | 1437580438 |
|---|---|
| Former Name | LAURA MARIE MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 2415) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2415) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-03-30 |