NPI | 1174597397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: AZ 0299) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1431) |
213ES0131X Podiatrist, Foot Surgery (Licence: IL 016-003857) | |
Enumeration Date | 2006-02-14 |
Last Update Date | 2015-02-24 |