NPI | 1366849416 |
---|---|
Former Name | MONIQUE KYM TERRAZAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003974) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36.003974) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2025-07-29 |