| NPI | 1720224496 |
|---|---|
| Former Name | LAURA GOULD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-01923) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0003931) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2012-01-30 |