| NPI | 1770710683 |
|---|---|
| Former Name | KATRINA JEANNE HALLAHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006474) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1235) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2017-01-03 |