NPI | 1760770556 |
---|---|
Former Name | NICOLE L KESSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0771) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002357) |
Enumeration Date | 2011-07-14 |
Last Update Date | 2022-07-21 |