NPI | 1336277730 |
---|---|
Former Name | ALANNA L PANKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4707) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4707) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2018-04-13 |