NPI | 1144229246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000521A) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901001129) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2017-12-15 |