| NPI | 1669840310 |
|---|---|
| Former Name | LAURA ANN MCINERNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA200001599) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2015-0072) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2025-07-23 |