| NPI | 1013566173 |
|---|---|
| Former Name | LAUREN CHRISTOFFERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2021-08-17 |