| NPI | 1447514880 | 
|---|---|
| Former Name | LAUREN FIORITO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 2837) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015679) | 
| Enumeration Date | 2012-06-29 | 
| Last Update Date | 2018-03-17 |