NPI | 1023491073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 244078) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001282) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001253A) | |
Enumeration Date | 2015-07-08 |
Last Update Date | 2021-07-15 |