| NPI | 1871575712 |
|---|---|
| Former Name | LAURA STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006312) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10000775) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2015-01-15 |