| NPI | 1477156743 |
|---|---|
| Former Name | LAUREN ASHTON BAEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL PA9113877) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2022-02-24 |