| NPI | 1528510070 |
|---|---|
| Former Name | LAUREN NICHOLE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C50001317) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-03-10 |