NPI | 1083135743 |
---|---|
Former Name | DANIELLE MARIE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA EL6814) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5674) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2022-12-12 |