NPI | 1396468096 |
---|---|
Former Name | SARA CESARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD-001138) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 135.001179) |
Enumeration Date | 2022-09-19 |
Last Update Date | 2025-07-07 |