| NPI | 1679865364 |
|---|---|
| Former Name | LAUREN WRIGHTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04433) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0919) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2020-04-20 |