| NPI | 1841641974 |
|---|---|
| Former Name | TONDA WOOTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001462) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 000000) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00451) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-07-31 |