| NPI | 1508574716 |
|---|---|
| Former Name | LAUREN HOENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007991RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007991) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-06-11 |