| NPI | 1295885911 |
|---|---|
| Former Name | LAURALIE GIBSON STEELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 6765) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 18636) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA910557) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-08-12 |