NPI | 1386805919 |
---|---|
Other Name | NDIDI UKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00296800) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25MD00296800) |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 3008) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 3008) | |
Enumeration Date | 2008-06-17 |
Last Update Date | 2023-02-28 |