NPI | 1760751697 |
---|---|
Former Name | CRISTINA ELENA CRISAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO4395) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E4968) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4968) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4395) | |
Enumeration Date | 2011-12-21 |
Last Update Date | 2024-09-02 |