NPI | 1902865942 |
---|---|
Former Name | DIA D. MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NC 653) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E1-0000158) |
213E00000X Podiatrist (Licence: PA SC-004722-L) | |
Enumeration Date | 2006-03-20 |
Last Update Date | 2024-05-02 |