| NPI | 1790311934 |
|---|---|
| Former Name | LAURA LEE TRAUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 1171286) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: MN 1171286) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |