NPI | 1730659608 |
---|---|
Former Name | LAUREN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0007737) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005823RX) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2024-01-29 |