NPI | 1427194349 |
---|---|
Former Name | KATHRYN LEE POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 528) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 2006020598) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-02-28 |