| NPI | 1215314521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003891) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301259) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001274A) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00488) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-03-15 |