Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 078070 | IA |
Y | 222Z00000X | Podiatrist | 078070 | IA |
NPI | 1063895860 |
---|---|
Provider Name | Katrina Almeida |
First Address | Des Moines, IA 50309-3203 |
Second Address | Des Moines, IA 50309-3203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2015 |
Last Update Date | 30/06/2015 |