NPI | 1184885881 |
---|---|
Former Name | AMY E MCCANDLESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00320000) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25MD00320000) |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC006066) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006066) | |
Enumeration Date | 2008-06-24 |
Last Update Date | 2023-02-24 |