NPI | 1639425887 |
---|---|
Former Name | LAUREN BAKER HIRSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106294) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA52700) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2021-06-14 |