NPI | 1013304948 |
---|---|
Former Name | ELLEN HILL BERNARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 2018014219) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2018014219) |
Enumeration Date | 2015-04-17 |
Last Update Date | 2025-10-14 |