| NPI | 1609596246 |
|---|---|
| Former Name | LAURA ANNE PUYPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16149) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PENDING) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2024-05-23 |