| NPI | 1093085367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM0000000884) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2015040981) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 252471) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2021-07-29 |