NPI | 1134681570 |
---|---|
Former Name | LAUREN NICOLE KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine (Licence: AR 299) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 299) |
Enumeration Date | 2019-04-04 |
Last Update Date | 2023-10-23 |