NPI | 1841364346 |
---|---|
Former Name | KATHLEEN M PYATAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00371) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003494) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006183-1) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2015-06-11 |