| NPI | 1700126885 |
|---|---|
| Former Name | ANNABELLE LEE SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.005771) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3652) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2018-07-19 |