| NPI | 1427447242 |
|---|---|
| Former Name | LAUREN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1301) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-004828) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2020-11-12 |