NPI | 1194101949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ PD-000951) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 228) |
213ES0131X Podiatrist, Foot Surgery (Licence: PA SC006979) | |
Enumeration Date | 2015-08-04 |
Last Update Date | 2022-02-16 |