NPI | 1255350229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01431) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01431) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2018-11-28 |