| NPI | 1316157787 |
|---|---|
| Former Name | ANISTA SOFTIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO60088825) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WA PO60088825) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-11-26 |