NPI | 1598086472 |
---|---|
Former Name | ALEXIS NICOLE PREBIHILO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006257) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-06-15 |
Last Update Date | 2013-08-12 |