NPI | 1316527039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 692127) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4555) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-08 |
Last Update Date | 2024-07-11 |