| NPI | 1750842894 |
|---|---|
| Former Name | LAUREN MICHELLE EHLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 57978) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP20073166) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2023-06-20 |