NPI | 1740757699 |
---|---|
Former Name | LAUREN OSTROV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12377) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-10-30 |
Last Update Date | 2024-07-03 |