| NPI | 1699081661 |
|---|---|
| Former Name | LAURA BERKEBILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA054498) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2019-10-14 |