NPI | 1083104319 |
---|---|
Former Name | CHELSEA ANNE NAKANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5826) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5951001236) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2023-10-10 |