| NPI | 1285155127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD-000961) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ POD-000961) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-10-15 |