| NPI | 1861469801 |
|---|---|
| Former Name | LAUREN REBECCA FELDSOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052317) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002366) |
| 363A00000X Physician Assistant (Licence: MD C0003636) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-10 |