| NPI | 1407258965 |
|---|---|
| Former Name | LAURA KATHRYN RODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60806374) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5793) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-12-02 |