| NPI | 1013254135 |
|---|---|
| Former Name | DESIREE DEE DIEBOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX tx3005) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC TR-128) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2022-12-22 |