NPI | 1144253022 |
---|---|
Former Name | CELESTE MICHELLE BORCHERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1591) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1591) |
213ES0131X Podiatrist, Foot Surgery (Licence: TX 1591) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2022-07-21 |