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 |