NPI | 1720056948 |
---|---|
Former Name | AMY MCCLARY LAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115819) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50001579RX) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2023-05-02 |