| NPI | 1457859415 |
|---|---|
| Former Name | LAURA ELIZABETH MOBLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4225) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-07899) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2023-08-28 |