NPI | 1083021141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006836) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006836) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 274346-231) | |
Enumeration Date | 2014-07-21 |
Last Update Date | 2022-11-24 |