NPI | 1205885100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 925) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006020) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2015-06-05 |