NPI | 1144268970 |
---|---|
Former Name | LAURIE MARIE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA002743L) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA001012) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2020-10-29 |