| NPI | 1316348170 |
|---|---|
| Former Name | LAUREN HIMPELMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11884) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2014032114) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2020-08-24 |