NPI | 1194085043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60561904) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: WA PO60561904) |
Enumeration Date | 2012-05-25 |
Last Update Date | 2019-10-23 |