| NPI | 1972894046 |
|---|---|
| Former Name | LAUREN TRAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1442) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 10956) |
| 363A00000X Physician Assistant (Licence: IL 085.007073) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2023-06-09 |