NPI | 1083994305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: DE E1-0000248) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006488) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2020-02-09 |