| NPI | 1659605061 |
|---|---|
| Former Name | DOLLY MARIE RAIHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 12-00400) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2012014962) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2014-07-06 |