NPI | 1518493485 |
---|---|
Former Name | LAURA ZEAMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 8229-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006349) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-07-21 |