| NPI | 1346720414 |
|---|---|
| Former Name | LAURA MICHELLE DENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2820) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 2186) |
| 363A00000X Physician Assistant (Licence: KY TC051) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2023-08-24 |