NPI | 1902528789 |
---|---|
Former Name | ANNALISE H LAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA213375) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-09-19 |
Last Update Date | 2024-09-04 |