| NPI | 1750531034 |
|---|---|
| Former Name | NOLASKA I TARDENCILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1985) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1985) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1985) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.005371) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2022-02-09 |