NPI | 1811187446 |
---|---|
Former Name | KARLI CATHERINE RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SCOO5932) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC 772) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2024-05-21 |