NPI | 1093409849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ Resident) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ NA) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-06 |