| NPI | 1710995865 |
|---|---|
| Former Name | LAUREN ELIZABETH ERNST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004374) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: DC PA030483) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-04-03 |