NPI | 1447892187 |
---|---|
Former Name | LAUREN NICOLE HENSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024213-01) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024213) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2023-09-01 |