NPI | 1861989873 |
---|---|
Other Name | LAUREN SUDHEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58248) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11775) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2023-10-03 |