| NPI | 1649403080 |
|---|---|
| Former Name | CRISTI LEE WART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 727) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006148) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2012-07-26 |