NPI | 1427287663 |
---|---|
Former Name | NATASHA LECLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NH NH 0338) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: RI LPR00085) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2012-10-09 |