| 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 |