NPI | 1649920232 |
---|---|
Former Name | LAUREN MICHELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016006108) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 016006108) |
Enumeration Date | 2022-03-25 |
Last Update Date | 2025-10-09 |