| NPI | 1790146256 |
|---|---|
| Former Name | LAUREN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06520) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2512) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2022-03-17 |