NPI | 1659509214 |
---|---|
Former Name | MELISSA MARIE HAMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0778) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006338) |
213E00000X Podiatrist (Licence: AZ 0778) | |
Enumeration Date | 2009-06-22 |
Last Update Date | 2024-03-01 |