| NPI | 1730466806 |
|---|---|
| Former Name | LAUREN BACKER CARDINAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA08447) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 015239) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2023-04-21 |