NPI | 1578875845 |
---|---|
Former Name | LAURA ANN WETSTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CO 724) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-07-02 |
Last Update Date | 2016-11-29 |