| NPI | 1316641160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1234) |
| 213E00000X Podiatrist (Licence: AZ 1234) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-05-25 |