NPI | 1144754557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA 5775) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006825) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2021-12-09 |