NPI | 1104955012 |
---|---|
Former Name | DIANA TSOMBARIS CLARKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00299300) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-03-31 |