| NPI | 1811412612 |
|---|---|
| Former Name | LAURA MARIE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3345) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 60349) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2025-09-26 |