| NPI | 1215935358 |
|---|---|
| Former Name | BARBARA JEAN BRAINERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OK 176) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OK 176) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000582) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2021-12-23 |