| NPI | 1518210004 |
|---|---|
| Professional Name | RUTH AIDA KOSAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: AZ 798) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: AZ 798) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 798) | |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2017-08-14 |