| NPI | 1720021595 |
|---|---|
| Former Name | LAUREA M WHITON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0493) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0493P) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-08-14 |