NPI | 1326334483 |
---|---|
Former Name | LENA MARIE KEESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 2094) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX T312011) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2023-12-18 |