| NPI | 1821349168 |
|---|---|
| Former Name | LAUREN BROME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 23.003669) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.004794) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2022-11-07 |