NPI | 1003074055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006345) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 006345) |
213ES0000X Podiatrist, Sports Medicine (Licence: NY 006345) | |
Enumeration Date | 2008-05-27 |
Last Update Date | 2010-02-09 |