| NPI | 1750532651 |
|---|---|
| Former Name | CAROLYN ROSE NEUHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001190A) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0699) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2023-10-27 |