NPI | 1851786099 |
---|---|
Former Name | CHRISTINE MOLLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36.003879) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-04 |
Last Update Date | 2021-01-11 |