| NPI | 1073894408 |
|---|---|
| Former Name | LAUREN ASHLEY BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 2839) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1847) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2022-07-21 |