NPI | 1336117878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003136) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103300942) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2022-12-04 |