| NPI | 1023492998 |
|---|---|
| Former Name | LAUREN ASHLEY PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 018786) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 18786) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2023-06-29 |