NPI | 1740560572 |
---|---|
Former Name | LAUREN P PARISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60408197) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07597) |
363A00000X Physician Assistant (Licence: WA PA60408197) | |
Enumeration Date | 2011-08-24 |
Last Update Date | 2024-02-06 |