| NPI | 1487946471 |
|---|---|
| Former Name | LAURIE NICOLE ELMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2016) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056098) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2018-03-17 |