| NPI | 1255701389 |
|---|---|
| Former Name | LAUREN ELIZABETH MATHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007764) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 35399) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2024-03-06 |