NPI | 1770997405 |
---|---|
Former Name | PRIYA SAJJA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NV 2039) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901002544) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 003795) | |
Enumeration Date | 2014-06-20 |
Last Update Date | 2021-09-17 |