| NPI | 1992932941 |
|---|---|
| Former Name | IRINA Y WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003747) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA sc006413) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2019-10-22 |