| NPI | 1871058156 |
|---|---|
| Former Name | FLORA LAWRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0006097) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2022-08-16 |