NPI | 1902956444 |
---|---|
Former Name | BETH RENEE FREELING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC006330) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 005650) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2012-08-31 |