Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO4193 | FL |
NPI | 1053717181 |
---|---|
Provider Name | Dr. Saleena Ruth Niehaus |
First Address | Tampa, FL 33609-4161 |
Second Address | Tampa, FL 33609-4161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2014 |
Last Update Date | 08/09/2021 |