NPI | 1760779573 |
---|---|
Other Name | DANIELLE VENEGONIA CRAWFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4012) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 01534) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2019-03-01 |