NPI | 1174587075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3946) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N005499) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2024-02-15 |