NPI | 1770921991 |
---|---|
Former Name | LAUREN CATHLEEN MIKESELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 284318) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2020-06-17 |