NPI | 1053418020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po3025) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 943-025) |
213E00000X Podiatrist (Licence: TX 1921) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-01-13 |