NPI | 1275870842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA EL1846) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: CA EL1846) |
Enumeration Date | 2013-01-15 |
Last Update Date | 2016-11-30 |