| NPI | 1265937189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 842) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4271) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL PO4271) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2024-03-04 |