NPI | 1194988279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: DC PO1000080) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 135000649) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2020-09-18 |