| NPI | 1215377718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2208) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX T60-2013) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 321) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2016-05-20 |