NPI | 1053751727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC006510) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E10000236) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2023-09-28 |