| NPI | 1932548146 |
|---|---|
| Former Name | MEGAN JO SANDORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO4130) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC006495) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-02-24 |