NPI | 1124085402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NY NY002852) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: FL FLP00002434) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2008-12-09 |