| NPI | 1003239245 |
|---|---|
| Former Name | LAUREN MARIE TUMELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2332) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 2332) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2018-11-15 |