NPI | 1003078213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301051) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DC PO1000107) |
Enumeration Date | 2008-06-29 |
Last Update Date | 2020-10-28 |