| NPI | 1134304421 |
|---|---|
| Former Name | LAUREL T MICKELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ND R21094) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2009-01-20 |