| NPI | 1316171358 |
|---|---|
| Former Name | GENTRY LEE ROOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA 200048) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX t13-2009) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX t07-2010) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX T24-2008) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2019-01-24 |