| NPI | 1487684163 |
|---|---|
| Former Name | LARA MICHELE HOSHKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PENDING) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006162) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-11-29 |