NPI | 1881146538 |
---|---|
Former Name | LAUREN CALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008629) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2016-0089) |
Enumeration Date | 2016-10-28 |
Last Update Date | 2022-08-03 |