| NPI | 1841566791 |
|---|---|
| Former Name | LAURA K BAILEER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61074450) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA6951) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2020-07-10 |