| NPI | 1144964339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO PDT.0000606) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CO PDT.0000606) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO PDT.0000606) | |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2022-07-14 |