NPI | 1124437595 |
---|---|
Former Name | RUTH SOREN RANUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SD 240) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-08-10 |
Last Update Date | 2020-09-29 |