| NPI | 1730741562 |
|---|---|
| Former Name | LAUREN PAGE RUKAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL 519) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-11-08 |