NPI | 1972907442 |
---|---|
Former Name | LAUREN M. RHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2540) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018080) |
363A00000X Physician Assistant (Licence: MA PA6110) | |
Enumeration Date | 2014-10-13 |
Last Update Date | 2023-09-19 |