NPI | 1245596600 |
---|---|
Former Name | LAURIE DIANNE HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9113371) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 006469) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2023-08-17 |