NPI | 1649627597 |
---|---|
Former Name | EMILY F BACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.005852) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
213E00000X Podiatrist (Licence: IL 016.005852) | |
Enumeration Date | 2016-05-20 |
Last Update Date | 2023-12-19 |