| NPI | 1063676575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016.005441) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO4035) |
| 213E00000X Podiatrist (Licence: PA SC006042) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IN 07001101A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA SC006042) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-03-11 |