NPI | 1023346335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E10000197) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC005846) |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DE E10000197) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005846) | |
Enumeration Date | 2009-11-24 |
Last Update Date | 2020-07-29 |