| NPI | 1003806571 |
|---|---|
| Former Name | LAURA A BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA1446) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1446) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-06-30 |