NPI | 1184283137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5869) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5869) |
213ES0131X Podiatrist, Foot Surgery (Licence: CA e5869) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-12 |
Last Update Date | 2024-04-08 |