| NPI | 1881152015 |
|---|---|
| Former Name | LAUREN HENTZEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060586) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MA060586) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-01-03 |