| NPI | 1659303238 |
|---|---|
| Other Name | MONICA JESSUP VANUWAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 451) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: SC 548) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-04-05 |