NPI | 1942787783 |
---|---|
Former Name | LAUREN BROOKE ROBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0009071) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8077) |
363A00000X Physician Assistant (Licence: NY 022285-1) | |
Enumeration Date | 2018-07-24 |
Last Update Date | 2025-09-11 |