NPI | 1114256955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5041) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002342) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006409) | |
Enumeration Date | 2009-12-07 |
Last Update Date | 2022-09-20 |