| NPI | 1447892187 |
|---|---|
| Former Name | LAUREN NICOLE HENSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12585) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024213-01) |
| 363A00000X Physician Assistant (Licence: NY 024213) | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2024-10-14 |