| NPI | 1437470481 |
|---|---|
| Former Name | ADRIENNE MARIE COSTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003604) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 59.000277) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2012-03-26 |