NPI | 1063630929 |
---|---|
Former Name | AMANDA KATE WESTFALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00439) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: OR DP00439) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2024-02-23 |