NPI | 1073505608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 00304) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36003377) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2016-03-22 |