| NPI | 1306003850 |
|---|---|
| Former Name | JENNIFER ANN D'AMICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001531) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 962) |
| 213E00000X Podiatrist (Licence: CA E4858) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 962) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E4858) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: CA E4858) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4858) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 962) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: CA E4858) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-11-14 |