NPI | 1972123149 |
---|---|
Former Name | YUNA FARAH MINOSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WV 10500) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-17 |
Last Update Date | 2023-05-12 |