| NPI | 1154705689 |
|---|---|
| Former Name | LINDSY LAURA KRAGT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM POD413) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006691) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2018-11-29 |