| NPI | 1821289265 |
|---|---|
| Former Name | LAUREN MICHELLE WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05281) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21103) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-05-06 |