| NPI | 1972937019 |
|---|---|
| Former Name | LAUREN NATALIE PETCHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA064622) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030985) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2023-09-22 |