NPI | 1255642609 |
---|---|
Former Name | ERINN N PONDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 001238) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3614) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2024-11-11 |