NPI | 1114264652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD001186) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001186) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2022-01-10 |