NPI | 1588951834 |
---|---|
Former Name | CHRISTINA LOUISE LANGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 2021) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA EL1892) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5127) | |
Enumeration Date | 2011-07-07 |
Last Update Date | 2017-10-02 |