| NPI | 1396173753 |
|---|---|
| Former Name | MIA FIEGELIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.005750) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 2013034538) |
| 213E00000X Podiatrist (Licence: IL 016.005750) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2014021282) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-07-02 |