NPI | 1679849707 |
---|---|
Former Name | LAURIE BETH SILVERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105505) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105505) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2023-04-13 |