| NPI | 1972503829 |
|---|---|
| Former Name | TANYA ROCHELLE SELLERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01173) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MD 01173) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2017-07-25 |