NPI | 1801330527 |
---|---|
Former Name | LAUREN NICOLE ZARNEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.007801) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 12351) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2023-01-31 |