NPI | 1467795872 |
---|---|
Former Name | LAUREN NICOLE DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09368) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2182) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2021-04-22 |