| NPI | 1922656644 |
|---|---|
| Other Name | LAUREN ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4843) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-006878) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-05-01 |