NPI | 1326692781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO4341) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E5796) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2024-01-03 |