NPI | 1528465945 |
---|---|
Former Name | LAUREN E CICALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1983) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 003221) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2023-01-25 |