NPI | 1457642753 |
---|---|
Former Name | LAUREN NICOLE EGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07311) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2011-04-21 |
Last Update Date | 2014-08-07 |