| NPI | 1194378232 |
|---|---|
| Former Name | LAURA LEE THRASHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA18089) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61265719) |
| 363AM0700X Physician Assistant, Medical (Licence: OR PA195318) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-06-27 |