| NPI | 1366734394 |
|---|---|
| Former Name | KATHRYN C JETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: UT 10921738-0501) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: UT 10921738-0501) |
| 213ER0200X Podiatrist, Radiology (Licence: UT 10921738-0501) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: UT 10921738-0501) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 10921738-0501) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: UT 10921738-0501) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2024-09-04 |